Meter Swap y
` Request Number: 15156
Public works Division
Service Req�st
Problem Address: 7003 Hickory Dr Reqnested By: William Haley
Department: WA'IER Address: No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Nnmber: 763-502-7647
Schedaled Date: 2017-OS-46 ScLcduled Time: 11:00:00
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ACITON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-05-OS
ACTiON TAL�N:
Status: In Progress Submitter Has Been �,
Contacted
Date Completed: Com�eted by:
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City of Fridley
Water Department
6431 University Avenue NE
Fridley,MN 55432
763-572-3566
UWe hereby autho�ize the City of Fridiey and/or its employees ta do what is necessary to
replace the water meCer. 1 understand that the property ow�er is liable for the water fine from the main to the premise and all interior
plumbing. (Per City code 402.06� 1 also hold the City of Fridley and/its employees harmless for any damages that may ocar while doing this
operation. This to include,but not limited to valves,piping,walis,floors or the curb stop box and service line. In understand I am also required
to obtain a permit prior to any work,ff necessary.
FINAL METER READING(old meter) �� � �Y �O
Name:_ � 1 �l l G.�- �l1L�� Address �V� �l 1 C K.d'� �-1 �/'
Phone Number ��O��OZ� ��o'� I Date ' �P' �
Signature Witness Signature
OLD METER# ��`" `� ��J
OLD READING D� Z���D
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NEW METER# ' :� � ' �
� � � ��48907 i�38�� i
NEW READING .
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1 'I 71814506
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�RIDLEY CITY CODE
CHAPTER 402.WA7ER,STORM WATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,565,629,638,662,922,988,114A,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of arry water of sewer line connecting the existing municipal system and arry house or building for which the
application is made,the owner o�coatractor shail be required to obtain a permit for such connedion,and shall pay a permit fee as provided in
Chapter 11 of this Code. After wch connedion has been made,the Water and Sewer Department shall be notffied. It shail be unlawful to cover
any connect+ng line until an ir�spedion has been made and such connection and the work incident thereto has been approved by the City as a
proper and suitable wnnedion.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION k
After the initial connedion has been made to the water service wrb stop box or the sewer lead at the property line or a water service lead has
been extended to the property line for connection,the applicant,owner,or occupant or user of such prem(ses shall be liabie for all repairs
�equired to any water line and sewer lines necessary for connection of the premises from the main to the premises. If the property owner
requests maintenance service or repairs be perFormed by the City,the property owner shall be charged for the costs of the mai�enance andjor
repain,inciuding necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the applicant,
owner,occupant or user to perform standard maintenance of the sewer service line from the premises to the main intluding deb�is dearing or
root cutting and to maintain the water service curb stop box for operability and at such heigfit as will ensure that 1t remains above the finished
grade of the land or property. (Ref 638,1156,1191)